Individual
PAUL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 SW 10TH AVE, STE 810, PORTLAND, OR 97205-3485
(503) 223-5039
(503) 223-1123
Mailing address
511 SW 10TH AVE, STE 810, PORTLAND, OR 97205-3485
(503) 223-5039
(503) 223-1123
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D9860
OR
Other
Enumeration date
08/25/2009
Last updated
09/08/2016
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